Individual
JILLIAN RENEE GIDCUMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1505 US HIGHWAY 41, SUITE A20, SCHERERVILLE, IN 46375-1321
(219) 322-5560
(219) 322-1549
Mailing address
931 RIDGE RD, SUITE G, MUNSTER, IN 46321-1755
(219) 836-2800
(219) 836-2897
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010452A
IN
225100000X
Physical Therapist
070-016483
IL
Other
Enumeration date
07/22/2008
Last updated
05/04/2011
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